Provider Demographics
NPI:1003830027
Name:KATZ, LORRAINE E (MD)
Entity Type:Individual
Prefix:
First Name:LORRAINE
Middle Name:E
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:100 E PENN SQ
Mailing Address - Street 2:WANAMAKER BUILDING 9TH FLR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3323
Mailing Address - Country:US
Mailing Address - Phone:267-425-9234
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA - ENDOCRINOLOGY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-3174
Practice Address - Fax:215-590-3053
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-04-12
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA063456002080P0205X, 2080P0205X
PAMD047032L2080P0205X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6941401Medicaid
PA0015843800001Medicaid
PA0015843800003Medicaid
NJ013059N44Medicare ID - Type Unspecified
NJ6941401Medicaid